| Triangle Aba Llc | |
|
1600 Hillsborough St Raleigh NC 27605-1639 | |
| (561) 310-5195 | |
| (919) 504-4171 |
| Full Name | Triangle Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 Hillsborough St, Raleigh, North Carolina |
| Authorized Official Name and Position | Amber Nelms (FOUNDER/OWNER) |
| Authorized Official Contact | 5613105195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Aba Llc 3604 Norway Ct Raleigh NC 27616-8753 Ph: (561) 310-5195 | Triangle Aba Llc 1600 Hillsborough St Raleigh NC 27605-1639 Ph: (561) 310-5195 |
| NPI Number | 1407468879 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407468879 | NPI | - | NPPES |
| 1487832440 | Other | NPI | |
| 1962895052 | Medicaid | FL | |
| 103TC0700X | Other | TAXONOMY CODE |
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